Painful Urination

What Causes Painful Urination?

Painful urination can have various causes, ranging in severity from 'needs attention' to 'generally fatal'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose painful urination, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "painful urination" as a symptom.  Here are six possibilities:
  • Kidney Stones
  • Ovarian Cancer
  • Bladder Cancer
  • Kidney Disease
  • Urethritis-Urethral Syndrome
  • Urinary Tract Infection

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
significant abdominal distension
moderate abdominal pain
moderate unexplained weight loss
pain medication use
bladder cancer
calcium supplementation
itchy skin
recent night sweats
weak appetite
major unexplained weight gain
moderate left iliac pain
significant left lumbar pain
... and more than 60 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of painful urination:
Cause Probability Status
Kidney Disease 95% Confirm
Urethritis-Urethral Syndrome 63% Possible
Kidney Stones 30% Unlikely
Bladder Cancer 5% Ruled out
Urinary Tract Infection 2% Ruled out
Ovarian Cancer 1% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

In the Urinary Symptoms section of the questionnaire, The Analyst™ will ask the following question about painful urination:
Do you suffer pain or burning while urinating?
Possible responses:
→ No / don't know
→ Very slight, barely noticeable
→ Yes, but not too worrying
→ Yes, worrying
→ Yes, severe - excruciating
Based on your response to this question, which may indicate no pain while urinating, slightly painful urination, painful urination or very painful urination, The Analyst™ will consider possibilities such as:
Bladder Cancer

See the link between Blood In Urine and Bladder Cancer.

Kidney Stones (Urolithiasis)

Painful and/or difficult urination is a common sign of a kidney stone.

Urinary Tract Infection (UTI)

Symptoms include painful, burning or itching sensations during urination.

Concerned or curious about your health?  Try The Analyst™
Symptom Entry
Symptom Entry
Diagnosis
Diagnosis
Suggestions
Suggestions
LifeMeter
LifeMeter®
Full Explanations
Explanations
Optional Doctor Review
Review (optional)
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